Dental Billing Specialist - REMOTE

Community Health Programs, Inc.; Massachusetts; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading health care organization is seeking a Dental Billing Specialist for a fully remote role. The specialist will be responsible for coding dental procedures, preparing and submitting claims to insurance providers, and ensuring compliance with regulations. Candidates should have excellent communication skills, experience in a dental office, and a strong understanding of dental billing practices. Bilingual candidates, especially in Spanish, are highly valued.

Qualifications

• One year coding and billing experience in a dental office required.
• Dental Coding/Billing Certification preferred.
• Knowledge of CDT and modifier usage.

Responsibilities

• Reviews EDR billing system and claims for accurate coding.
• Prepares claims for submission to third party payers.
• Investigates and resolves denied claims.

Skills

Communication Skills

Customer Service

Knowledge of Dental Terminology

Punctuality

Bilingual (Spanish)

Education

High school diploma or equivalent

Dental Coding/Billing Certification

Tools

Electronic Dental Record system

Coding and claims software

Job description

Join to apply for the Dental Billing Specialist - REMOTE role at Community Health Programs, Inc.

Join to apply for the Dental Billing Specialist - REMOTE role at Community Health Programs, Inc.

Get AI-powered advice on this job and more exclusive features.

The Dental Billing Specialist reviews electronic dental records,

computer generated reports, and other reporting tools to identify

conditions treated and the services provided to each patient. This role

is responsible for overseeing the timely and accurate coding of

diagnoses, services and procedures performed by dentists, hygienists,

and any other provider performing billable services, and supplies used

utilizing the appropriate coding system. Excellent customer service and

Communication Skills Are Required For This Position. Spanish Bilingual

is a plus. This position also monitors and resolves all aged

receivables. This person will support CHP\'s mission, vision, and values

and will adhere to compliance protocols as well as CHP\'s policies and

procedures.

## Position Requirements

• Dental Billing Specialist Essential Duties and Responsibilities:** -
  
  

Reviews EDR billing system, computer generated reports and other

reporting tools to identify all services and procedures performed by

providers, and any other provider performing billable services. -

Reviews encounter forms to ensure appropriate diagnosis codes selecting

the codes that accurately describe the condition for which the service

or procedure was performed. - Prepares accurate claims for timely

submission to the appropriate third party payers. - Posts third party

payments received to appropriate patient accounts, files Explanation of

Benefits (EOB) according to clinic procedure. - Works cooperatively with

third party payers to reconcile payments in a timely manner. - Ensures

that dental staff complies with various third party rules and

regulations. - Analyzes and investigates all third party claims that

become 60 days past due to determine cause. Distributes overdue/denied

claims and reports to dental, fiscal and administrative leadership. -

Collaborates with practice mangers to monitor, review and track all

correspondence from insurers regarding claims. - Investigates all denied

claims, corrects any coding errors and resubmits the claims for

payment. - Assists with provider billing and documentation training as

needed. - Maintains all payer training manuals; notifies dental staff of

any change in any insurer\'s rules and regulations. - With the billing

team follows and reports status of delinquent accounts and works to

collect aged balances. - With the billing team evaluate patient

financial status and establish payment plans as instructed. - Applies

payments accounts received through bank deposits and insurance

carriers. - Prepares and mails statements to patients with unpaid

balances. - Answers patient questions, identifies and resolves patient

billing complaints. **Competencies:** To perform the job successfully,

an individual should demonstrate the following competencies: - Punctual

and reliable; ability to maintain schedule commitments. - Spanish

speaking/bilingual is a plus. - Knowledge of dental terminology, anatomy

and physiology; knowledge of CDT and modifier usage; knowledge of third

party payer reimbursement policies and procedures; knowledge of coding

and billing programs and ability to use coding and claims software;

knowledge of Electronic Dental Record system preferred. **Essential

Skills and Qualifications:** - High school diploma or equivalent. - One

year coding and billing experience in a dental office. Dental

Coding/Billing Certification a plus. [This is a partial job description,

for a complete description, and to apply, please click

here.](https://recruiting.myapps.paychex.com/appone/MainInfoReq.asp?R_ID=6842615){target="blank"

rel="noopener noreferrer"}

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Community Health Programs, Inc. by 2x

Get notified about new Dental Specialist jobs in Massachusetts, United States.

Clinical Activation Specialist - Boston, MA

Stop Loss Specialist - Oregon & Washington

Field Service Engineer (Medical & Dental Laser Technology) - Boston Area

Boston, MA $83,000.00-$100,000.00 2 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.